Memorandum
Date: July 8, 2025
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Consideration of Amendment No.2 to the Agreement Between County of Lake and California Mental Health Services Authority "CalMHSA" Semi-Statewide Enterprise Health Record Program in the Amount of $1,528,816.56.
Executive Summary:
Amendment No.2 increases the total compensation in the agreement between the County of Lake and California Mental Health Services Authority. The revised total maximum funding amount of $1,528,816.56 includes $1,506,816.56 in committed programmatic purchases and $22,000 for AMA licensing fees. This amount represents an overall increase of $69,222.91 from the original agreement’s total maximum funding of $1,459,594.
When SmartCare includes CPT® codes (which it does for documentation, billing, and reporting), the AMA requires a license for each organization that uses the codes. Netsmart (SmartCare’s vendor) must pay these fees and often passes them on to the county or agency in the form of:
• A line item labeled “AMA CPT License Fee,” or
• An embedded annual charge per user or per site
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☒ Fully Article X. <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI>- and/or Consultant Selection Policy <http://lcnet.co.lake.ca.us/Assets/Intranet/Policy/Policies+$!26+Procedures+Manual/Ch4_2021v2.pdf>-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI> Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee <http://lcnet.co.lake.ca.us/Assets/Intranet/Intranet+Forms/Information+Technology/AdvPlan.pdf> (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 <http://www.lakecountyca.gov/Government/Directory/Administration/Visioning/Vision2028.htm> (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve Amendment No.2 to the Agreement Between County of Lake and California Mental Health Services Authority "CalMHSA" Semi-Statewide Enterprise Health Record Program in the Amount of $1,528,816.56 and Authorize the Board Chair to Sign.